I am in mental health, but I know what the PCPs do.
You talk to the nurse, you review the chart, you see the pt, however briefly. You can bill even if you don't write an order.
No need to document the 12 cranial nerves, strip the body naked for a full assessment ( it didn't really happen) which is the big rip off I see all the time.
Medicare values a simple visit where you don't write an order as 15 minutes. Total. Chart review, staff information. Absolutely not 15 minutes examining the pt.
I have never heard not being able to bill for coumadin dosing, dietitian recommendations, or hospice. Sounds like a ton of crap.
If you are in a 190 bed facility, you should be seeing 20 pts a day, or close to it.
If you are somehow not getting that many referrals, something is wrong.
And 20 pts a day should not usually take more than 8 hours. If it does, you are doing something wrong.